CareIMO
Sounds like you are describing length dependent peripheral neuropathy which can have may causes including alcohol related neuropathy, vit B12 deficiency...
Internal Medicine - 2 replies - 1 verified provider replies
For the past couple months I've been getting tingling and pins and needles in both feet, mostly in the evening and at night. It's not from sitting on them weird, it happens when I'm just lying in bed. Sometimes it's more of a mild burning feeling along the bottom of my feet. It doesn't happen during the day really, or at least I don't notice it as much. No weakness, I can walk and balance fine.
Haven't brought it up yet. I keep thinking it'll just go away on its own.
I had bloodwork done about a year ago and everything was normal including my blood sugar. I do drink more than I probably should, usually a few beers most nights of the week, sometimes more on weekends. I've read that alcohol can affect your nerves but I'm not sure how much is too much for that to happen.
Vicky_1990
Thank you for the detailed explanation and guidance, I really appreciate you outlining the possible causes and next steps so clearly. I’ll make sure to follow up with my primary care provider as soon as possible and will watch closely for any of the red flag symptoms you mentioned. Thanks again for your help.
Iman Makki, MD - Verified provider
Sounds like you are describing length dependent peripheral neuropathy which can have may causes including alcohol related neuropathy, vit B12 deficiency, diabetic/prediabetic polyneuropathy, hypothyroidism related neuropathy as well as more serious important not to miss diagnosis such as Guillain barre syndrome, lumbar spinal stenosis, vasculitic neuropathy and monoclonal gammopathy associated neuropathy. Next steps including following up with your primary care provider asap who can take a targeted history, do a focused physical exam and likely order a panel of pertinent blood work for further workup and diagnosis. If there are any red flags symptoms such as associated weakness, rapid onset/progression, asymmetry, associated bowel/bladder issues and/or saddle anasthesia urgent evaluation is warranted.
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